Claim Form in Los Angeles

Claim form DWC-1 asks for your name and address and the date, time, and location of your injury, as well as a description of the injury. Instructions for filling out the claim form can be found on the form itself. Be sure to name each body part that has been injured. You submit this form to your employer (by handing it to the employer or sending it by certified mail), and the employer is required to submit it to its workers’ compensation insurance company.

We provide legal services in English, Spanish, and Armenian. Request a free consultation today by calling us at (818) 873-0181 or by submitting an online contact form.

The Opinions That Matter Most

Read Our Client's 5-Star Reviews
  • KJT Law Group fought hard on my behalf every step of the way.

    “They are knowledgeable, patient, and will treat you like a priority. Without a doubt, I would highly recommend them to you.”

    - A. Aristakessian
  • KJT Law Group has an amazing team and I am so happy I had them represent me.

    “Throughout the whole process, I felt that they really cared about me and my case, which I am very thankful for.”

    - Anna K.
  • I couldn’t be happier with the KJT law firm

    “Both Caspar and Vache were exceptional and professional. I have no doubt that they fought hard in my behalf.”

    - Emily G.
  • Honest and didn’t sugar coat anything.

    “KJT Law Group was amazing. If ever you need a lawyer, I highly recommend KJT Law Group.”

    - Rochelle C.
  • Vache is an incredible attorney!

    “After a long conversation in which Vache explained, in detail, our steps and patiently answered all of our questions, I knew he was the perfect attorney for us.”

    - Shantel E.
  • I found KJT Law Group online and I couldn’t be happier with their results.

    “hese guys know what they are doing and they respect their clients!”

    - Jacob K.

What Sets Us Apart

  • Aggressive, Experienced, and Compassionate Counsel
  • Services Offered In Spanish & Armenian
  • Millions Recovered For Our Clients
  • We Make You Our Priority
  • Work Directly With Your Attorney

We Will Fight For You

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We provide legal services in English, Spanish, and Armenian. Request a free consultation today by calling us at (818) 873-0181 or by submitting an online contact form.